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Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp

Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a menin...

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Autores principales: Woo, Lho Hyoung, Soo, Yoon Wan, Sup, Chung Dong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Brain Tumor Society; The Korean Society for Neuro-Oncology; The Korean Society for Pediatric Neuro-Oncology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114191/
https://www.ncbi.nlm.nih.gov/pubmed/27867931
http://dx.doi.org/10.14791/btrt.2016.4.2.160
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author Woo, Lho Hyoung
Soo, Yoon Wan
Sup, Chung Dong
author_facet Woo, Lho Hyoung
Soo, Yoon Wan
Sup, Chung Dong
author_sort Woo, Lho Hyoung
collection PubMed
description Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a meningeal sarcoma of frontal meninges. She complained headache for 2 months and palpable forehead mass for 3 weeks. Brain MRI demonstrated a soft tissue mass sized as 5.3×3.7×3.1 cm with well-defined osteolysis on the midline of the frontal bone. The mass attached to anterior falx without infiltration into the brain parenchyme. The tumor had extracranial and extraaxial extension with bone destruction. The tumor was totally removed with craniectomy and she had an adjuvant radiotherapy. However, an isolated subcutaneous metastasis developed at the both preauricular area of the scalp, originating from the scar which was remained the first surgery. After complete removal of this metastasis, she had an adjuvant radiotherapy in other hospital. However, she expired after six months after first surgery. We believe that the occurrence of tumor seeding at the site of incision in the scalp is related to using the fluid for irrigation after tumor resection and the same surgical instruments for the removal of the brain tumor.
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spelling pubmed-51141912016-11-19 Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp Woo, Lho Hyoung Soo, Yoon Wan Sup, Chung Dong Brain Tumor Res Treat Case Report Primary sarcomas of the central nervous system are rare. These tumors is rapid growth often produces mass effect on the brain. Diagnosis is rendered pathologically after resection. Surgical resection is the mainstay treatment and need the adjuvant therapy. We report a 44-year-old female with a meningeal sarcoma of frontal meninges. She complained headache for 2 months and palpable forehead mass for 3 weeks. Brain MRI demonstrated a soft tissue mass sized as 5.3×3.7×3.1 cm with well-defined osteolysis on the midline of the frontal bone. The mass attached to anterior falx without infiltration into the brain parenchyme. The tumor had extracranial and extraaxial extension with bone destruction. The tumor was totally removed with craniectomy and she had an adjuvant radiotherapy. However, an isolated subcutaneous metastasis developed at the both preauricular area of the scalp, originating from the scar which was remained the first surgery. After complete removal of this metastasis, she had an adjuvant radiotherapy in other hospital. However, she expired after six months after first surgery. We believe that the occurrence of tumor seeding at the site of incision in the scalp is related to using the fluid for irrigation after tumor resection and the same surgical instruments for the removal of the brain tumor. The Korean Brain Tumor Society; The Korean Society for Neuro-Oncology; The Korean Society for Pediatric Neuro-Oncology 2016-10 2016-10-31 /pmc/articles/PMC5114191/ /pubmed/27867931 http://dx.doi.org/10.14791/btrt.2016.4.2.160 Text en Copyright © 2016 The Korean Brain Tumor Society, The Korean Society for Neuro-Oncology, and The Korean Society for Pediatric Neuro-Oncology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Woo, Lho Hyoung
Soo, Yoon Wan
Sup, Chung Dong
Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
title Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
title_full Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
title_fullStr Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
title_full_unstemmed Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
title_short Seeding of Meningeal Sarcoma Along a Surgical Trajectory on the Scalp
title_sort seeding of meningeal sarcoma along a surgical trajectory on the scalp
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114191/
https://www.ncbi.nlm.nih.gov/pubmed/27867931
http://dx.doi.org/10.14791/btrt.2016.4.2.160
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